The school nurse is planning a presentation on pregnancy for 13- and 14-year-olds who are currently pregnant. When planning the content of this presentation, what should the nurse keep in mind about these teens?
1. They are working on independence and autonomy.
2. They are no longer developing a sense of achievement.
3. They are confident in their own identity.
4. They are in control of their impulses.
1
Explanation: 1. The developmental tasks of adolescence include developing an identity, gaining autonomy and independence, developing intimacy in a relationship, developing comfort with one's own sexuality, and developing a sense of achievement. Teens in early adolescence will not have achieved all of these tasks yet.
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A 78-year-old man has been taking diphenhydramine (Benadryl) for seasonal allergies. Which new symptom would the nurse report to the prescriber?
a. Decreased urination b. Drowsiness c. Dry mouth d. Cough
The nurse is preparing to listen to a client's mitral valve. Which landmark on the client's chest should the nurse place the bell of the stethoscope?
A. Left sternal border, fourth intercostal space. B. Left sternal boarder, third intercostal space. C. Right sternal boarder, second intercostal space. D. The apex, fifth intercostal space, left midclavicular line.
The nurse is seeing a patient who has been in the clinic eight times in the past 6 months for injuries from an abusive partner. The patient states, "I don't see any way to get away from my partner, and I can't keep going on like this."
What assessment question is most important for the nurse to ask? a. "Do you have any family in the area that can help?" b. "Have you thought about hurting yourself or someone else?" c. "Have you thought about moving to a different city?" d. "Have you discussed this with anyone else?"
Which action will slow the absorption of a drug?
1. Taking medication earlier than prescribed 2. Taking medication with food 3. Taking medication with water 4. Taking medication before exercise